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ID It e -vift(FwwWwIII N �wIIIII VIII <br /> ».�.. iINI IPS IIIII��Illlli dP4tl IIID WAn�¢tltll�i �IINW9N <br /> umuw' uuuuu uuuuw <br /> Illllmu III uwmq I uuuuuul Pul Wu "' ��p,mu I�ry!I�� �uouluww mm <br /> Please read i VW I�applyingi t Permit before completing this <br /> mindfulation on <br /> that fees may be associatedi r request. Answer allI <br /> Applicable)where appropriate. <br /> Anr,)k:a ICa unty ad,ilo Cluib F.Iob... ra�r11 eII............ <br /> Sponsoring Organization Name of Applicant or Contact Person <br /> 8380 Lake:Dri%ff, Limo Lakes,MN 55014612-275.-8954 <br /> Address (Street, City, State, i ) Phone Number <br /> kb0il.�ci� . .ell.co:rn. <br /> Ema <br /> itr ss: :kb0lol.Cq)L ilaco:rn <br /> Type f Event: <br /> Run/WalkPlanned Demonstration 0 Fundralser <br /> Block8 Ceremony C)Celebration <br /> """' f":: <br /> Parade Con rt t .ad.io vicnt <br /> Street it <br /> 1 / 1117 is <br /> ,,,, ,,,,,,,,,, Event Hours . : i .tl <br /> Date of Event Anticipated Attendance <br /> Nameor Title of Event:l lw ial 12Y. i.I.I.1 ! q.......1-1.......................................................................-...... ....................................................................................................................... <br /> Location and Description of Event: (List any City parks,streets,bails or facilities to be used and/or blocked-off during the event) <br /> Utilize vark facilities and Darking lot. Exvected to operate event from s in e oarkine lot during normal <br /> natk hours. No need to close anwhing or have exclusive access. No food or beveragesprovided.to thepublic. <br /> .......................................................................m.................w........................_................................................................................................ <br /> NOTE: No permanent markings of mute allowed on any streets, sidewalks, or trails in the City of Centerville. <br /> 1) Are police officers needed to provi ervice the event(traffic control, security, barricading streets, <br /> and use of equipment, etc.) Yes No _ J . <br /> a. Police Security 0 <br /> Police Traffic Control .0 <br /> Barricades <br /> Cones .0 <br /> Barricades 0 <br /> Picnic Tables(@ Parks only) _0 <br /> ) A map or diagram of the event must be provided. Looking for routes/direction of travel, locations of <br /> restroorns, serving areas (food and alcohol), stages, fencing and barricades. <br />